NIST-EP-Patient-1-Visit-1

Test Procedure for §170.304.h Clinical Summaries  APPROVED (Pending) Version 1.0  July 21, 2010  

TD170.304.h.: Clinical summaries

• indicates alternative standard code per certification criteria

Clinical Summaries Test Data – Set #1|Office Visit #1 for Jonas Barnaby

Patient
Name	Date/Time of Birth	Gender	Identification Number	Identification Number Type	Address/Phone
Jonas Barnaby	07/14/1961 12:30:24	Male	969988999	Medical Record Number	478 Charles Street, Williamsport, Pennsylvania 17701 570-857-8593

“Source” for all data for this patient: Marcus Welby, MD

Problem List
Type	ICD-9 Code	Patient Problem	Status	Date Diagnosed
Diagnosis	250.02	Diabetes Mellitus, Type 2	Active	07/20/2010
Type	SNOMED Code*	Patient Problem	Status	Date Diagnosed
Disorder	44054006	Diabetes Mellitus, Type 2	Active	07/20/2010

Medication List
RxNorm Code	Product	Generic Name	Brand Name	Strength	Dose	Route	Frequency	Date Started	Status
205875	Medication	glyburide	Diabeta	2.5 mg	1 Tablet	PO	Q AM	07/20/2010	Active

Medication Allergy List
Type	SNOMED Code	Medication/Agent	Reaction	Date Recorded
Drug Allergy	293597001	Codeine	Hives	06/27/1996
Drug Allergy	294506009	Ampicillin	Diarrhea, nausea, vomiting	03/15/1994

Diagnostic Test Results
Type	LOINC Code	Test (Normal Range)	Result	Date Performed
Chemistry	14771-0	Fasting Blood Glucose (70–100 mg/dl)	178 mg/dl	07/20/2010

CSV version of this data

--Glilly 19:00, 23 Nov 2010 (PST)